Lara Weyland, PH.D., Clinical Psychology, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14852 Issued in CA

Legal business name

LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC.

Practice address

2220 Mountain Blvd
Suite 240
Oakland, CA 94611-2958

Phone

(510) 531-5354

Fax

(510) 222-3508

NPI assigned

Jul 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lara Adeline Weyland, PH.D.NPI 1720187578

Title

Ceo/President

Phone

(510) 534-5354

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lara Adeline Weyland, PH.D.

  • Psychologist
  • Oakland, CA
  • NPI 1720187578
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1013262906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD",
            "address_2": "SUITE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112958",
            "telephone_number": "510-531-5354",
            "fax_number": "510-222-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD",
            "address_2": "SUITE 240",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112958",
            "telephone_number": "510-531-5354",
            "fax_number": "510-222-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA WEYLAND, PH.D., CLINICAL PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "WEYLAND",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "ADELINE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "510-534-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Lao, MOT, OTR/L
• William Lao, MD
• Christina A Lapides, LCSW
• Ryan Laplant
• Monica Lappin, PA
• Christy Lara
• Gilma Lara
• Grace Lara, DO
• Gustavo N/a Lara
• Joanna M. Lara

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.